PORT HEALTH SERVICES (NPI# 1164033981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164033981 |
| Entity Type | Organization |
| Organization Name | PORT HEALTH SERVICES |
| Practice Address |
2602 Courtier Dr Greenville NC 27834-7818 |
| Mailing Address |
4300 Sapphire Ct Ste 110 Greenville NC 27834-9079 |
| Practice Telephone | 2527520483 |
| Mailing Telephone | 2528307540 |
| Mailing Fax Number | 2524130932 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | THOMAS SAVIDGE (CEO) |
| Authorized Official Telephone | 2528307540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962913327 | Port Health Services | Community/Behavioral Health | 224 Memorial Dr Ste B, Jacksonville, NC 28546-6332 | 2017-10-12 |
| 1417356411 | Port Health Services | Counselor | 50347 Nc Hwy 12, Frisco, NC 27936 | 2014-08-15 |
| 1730505470 | Port Health Services | Community/Behavioral Health | 2206 Wrightsville Ave # A, Wilmington, NC 28403-2406 | 2014-03-05 |
| 1417293663 | Port Health Services | Counselor | 144b Community College Rd, Ahoskie, NC 27910-8047 | 2012-12-17 |
| 1245500909 | Port Health Services | Community/Behavioral Health | 2808 Croatan Hwy Suite B, Nags Head, NC 27959-9024 | 2012-01-11 |
| 1326331216 | Port Health Services | Community/Behavioral Health | 314 Progress Drive Extension, Burgaw, NC 28425-2813 | 2011-05-25 |
| 1902101496 | Port Health Services | Community/Behavioral Health | 1507 Martin Street, Wilmington, NC 28401-6422 | 2011-01-14 |
| 1497075618 | Port Health Services | Counselor | 4300-110 Sapphire Court, Greenville, NC 27834-9019 | 2010-06-10 |
| 1881822344 | Port Health Services | Counselor | 101 Arpdc St, Hertford, NC 27944-7901 | 2009-06-23 |
| 1518195072 | Port Health Services | Community/Behavioral Health | 102 Medical Dr Ste A&b, Elizabeth City, NC 27909-3361 | 2009-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PORT HEALTH SERVICES | 4300 Sapphire Ct Ste 110, Greenville, NC 27834-9079 |
| Street Address |
2602 COURTIER DR |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-7818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477538254 | Port Health Services | Substance Abuse Rehabilitation Facility | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2005-12-14 |
| 1043824998 | Bertha Bowen Hambidge | Psychiatry & Neurology | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2020-09-08 |
| 1568024701 | Michaela Forsythe | Counselor | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2019-07-08 |
| 1902365695 | Benjamin Kirby Jones Iv | Counselor | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2019-03-13 |
| 1477037612 | Ryanne Karen Nosay | Counselor | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2018-09-24 |
| 1174071435 | Anais Rose Sergi-holt | Counselor | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2016-09-15 |
| 1447621552 | Katherine Smith Howard | Counselor | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2015-10-15 |
| 1104205970 | Mary Megan Freeman | Social Worker | 2602 Courtier Dr, Greenville, NC 27834 | 2015-05-26 |
| 1760861934 | Taylor Leigh Humphrey | Counselor | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2015-05-21 |
| 1669870416 | Jennifer Parks Rezeli | Counselor | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2014-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285105049 | West Pioneer LLC | Pharmacy | 9115 Wesley St Ste 4, Greenville, TX 75402-3841 | 2018-12-05 |
| 1205302254 | A & A Infusion & Specialty, LLC | Pharmacy | 423 Mcallister St, Greenville, MS 38701-4704 | 2018-10-17 |
| 1548769219 | Long's Drugstores of South Carolina, Inc. | Pharmacy | 811 Pendleton St Ste 10, Greenville, SC 29601-3232 | 2018-02-07 |
| 1437505880 | Physicians East Pa | Pharmacy | 1850 W Arlington Blvd Ste 100, Greenville, NC 27834-5704 | 2016-05-04 |
| 1164888038 | Addison & Partners, LLC | Pharmacy | 150 Howell Cir, 125, Greenville, SC 29615-4961 | 2016-01-08 |
| 1073917043 | St Francis Hospital Inc | Pharmacy | 104 Innovation Dr Ste 1050, Greenville, SC 29607-5253 | 2014-10-20 |
| 1639436561 | Om Rx Services LLC | Pharmacy | 5127 Wesley St, Greenville, TX 75402-6315 | 2012-04-17 |
| 1780958744 | Dogwood Pharmacy, LLC | Pharmacy | 1325 Miller Rd, Suite K, Greenville, SC 29607-6541 | 2012-03-08 |
| 1891063012 | Kelly's Pharmacy Inc. | Pharmacy | 4852 State Route 81, Greenville, NY 12083 | 2011-12-02 |
| 1235437518 | Pharmacy Innovations Inc | Pharmacy | 2221 Stantonsburg Rd, Greenville, NC 27834-2841 | 2011-03-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on PORT HEALTH SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.